Department for Transport

Crossrail Line: Railway Stations

lord berkeley: To ask Her Majesty's Government how many cycle parking spaces will be provided at each of those Crossrail stations for which Network Rail has responsibility.

baroness sugg: Network Rail has responsibility for managing Reading, Paddington and Liverpool Street stations along the Elizabeth line (Crossrail) route. There are currently 344 cycle parking spaces at Reading, 233 spaces at Liverpool Street and 682 spaces at Paddington stations, making a total provision of 1259.

Department for Communities and Local Government

National Trust: Tenants

lord patten: To ask Her Majesty's Government, further to the Written Answer byLord Bourne of Aberystwyth on 7 November (HL2762), whether there is an independent regulator or other body to whichtenants of National Trust properties may refer concerns.

lord bourne of aberystwyth: Tenants of National Trust properties can refer concerns to the Charity Commission, which is the independent regulator of charities.

Foreign and Commonwealth Office

George Papadopoulos

the marquess of lothian: To ask Her Majesty's Government which officialGeorge Papadopoulos met during his visit to the Foreign and Commonwealth Office in 2016; when that meeting was held; what was discussed; what position in the Trump presidential campaign that official was informed that George Papadopoulos held; and whether he met officials from any other Government departments.

lord ahmad of wimbledon: The then Head of the FCO’s North America Department held a brief introductory meeting with George Papadopoulos, one of the Trump campaign’s named foreign policy advisors, in September 2016. A written record of this meeting was not produced. The FCO’s Americas Directorate is not aware of officials from any other Government departments meeting Papadopoulos.A critical part of sustaining the strong UK-US relationship is outreach to figures in potential future US administrations, particularly during election campaigns. The British Embassy in Washington and the Foreign and Commonwealth Office held a range of meetings with figures in both the Democrat and Republican presidential campaigns in the run up to November 2016.

Burma: Rohingya

the marquess of lothian: To ask Her Majesty's Government what discussions they have had with the government of Myanmar regarding reports of atrocities committed against Rohingya Muslims in Tula Toli on 30 August.

lord ahmad of wimbledon: The Government is deeply concerned by the many reports of atrocities following the military's violent operation that prompted more than 600,000 Rohingya people to flee into Bangladesh. I strongly condemned the violence when I spoke at the Human Rights Council on 11 September. The Foreign Secretary has spoken to State Counsellor Aung San Suu Kyi about the crisis three times, most recently on 21 October, to make clear this situation is completely unacceptable and to call on her to resolve the crisis. The Minister for Asia and the Pacific pressed Burma's Defence Minister to ensure accountability for the perpetrators of human rights violations when they met on 20 November. The Foreign Secretary secured on 6 November the first UN Security Council Presidential Statement on Burma in a decade. This called for accountability for perpetrators of human rights violations including sexual violence. The Burmese authorities must heed the Security Council's call. The Foreign Secretary will lead further international action if they do not. ​The UK has co-sponsored the UN General Assembly resolution on Burma and played a leading role in the creation of the UN Fact-Finding Mission in March 2017. We will ensure that the mission is aware of the reports of atrocities in Tula Toli.

Zimbabwe: Politics and Government

the marquess of lothian: To ask Her Majesty's Government what is the latest information they have on the present political situation in Zimbabwe, in the light of reports of a military coup.

lord ahmad of wimbledon: Since the peaceful military takeover on 14 November, President Mugabe has resigned and President Mnangagwa was sworn in on 24 November. No ministers have officially been appointed as yet. Mnangagwa in his inauguration speech pledged to hold free and fair elections within the constitutional time frame (by latest August 2018). The UK welcomes this commitment. We will do all we can to support a legitimate government to rebuild the country, working with international and regional partners.

EU Countries: British Nationals Abroad

lord tebbit: To ask Her Majesty's Government, further to the Written Answer byBaroness Vere of Norbiton on 20 October (HL1876), how many UK citizens are currently being held without charge in other EU Member States.

lord ahmad of wimbledon: Consular Directorate's case management system records British nationals detained overseas, where cases have been reported to us. British national detainees are divided into two categories – those who have been sentenced and those who are yet to be sentenced. It does not have a breakdown of the latter and we cannot provide numbers of those who are yet to be charged.

Department for Exiting the European Union

Brexit

viscount waverley: To ask Her Majesty's Government whether they have determined in what circumstances they would withdraw from negotiations to exit from the EU; and if so, what are those circumstances.

lord callanan: We continue to engage constructively, as a full and responsible Member State in the negotiations. For our part, we are ready to move these negotiations on, as doing so will allow us to best achieve our joint objectives and move towards a deal that works for both the UK and the EU. We are confident that a future partnership between the UK and EU is in the interests of both sides, so we are approaching these negotiations with optimism. We do not want or expect a no deal outcome.

Department for Education

Children: Protection

lord porter of spalding: To ask Her Majesty's Government in the light of their Children in need and child protection statistics, for 2006–07 and 2016–17, showing an increase in the number of children who were the subject of a child protection plan in place at year end from 27,900 to 51,080, what assessment they have made of the factors leading to that increase.

lord agnew of oulton: The Department for Education considers that robust statistical comparisons using the Children in Need Census data can only be made between 2010-11 and 2016-17 due to different sources of data collection. Data preceding 2010 is drawn from the Child Protection and Referrals 3 (CPR3) statistical return. The number of children subject of a child protection plan (CPP) has been rising over the recent years, a pattern that has continued through the collection of data from both sources. However, whilst it is likely there was an increase between 2008-09 and 2009-10, due to the differences in the data sources, it is not possible to confirm if the increase was solely down to an increase in the number of children subject to a CPP, or partially explained by the change in data source. Since 2010 there has been a consistent increase in the number of section 47 enquiries, from 89,300 to 185,450. These are the enquiries initiated to decide whether and what type of action is required to safeguard and promote the welfare of a child who is suspected of, or likely to be, suffering significant harm. There has also been an increase in the number of initial stage child protection conferences since 2010, from 43,900 to 76,930. These are the meetings which bring together family members (and the child, where appropriate), with advocates and professionals, to make decisions about the child’s safety, health and development. Over the same period, the number of children who are then subject to a CPP has also increased, but at a lower rate, from 39,100 to 51,080. In recording the reason a child becomes subject to a CPP, since 2010, there has been an increase in the proportion of plans recorded under the initial categories of neglect and emotional abuse. Conversely, the proportion of plans under the categories of physical abuse and multiple forms of abuse have fallen. Wherever local councils have reasonable cause to suspect that a child is suffering, or likely to suffer, significant harm, they are under a duty to investigate. It is right that where local councils have concerns about a child, they undertake an assessment to determine what action is appropriate to take. As well as indicating some change in the categories of abuse under which social workers are recording CPPs, these trends indicate that local councils are undertaking more investigative action now than in 2010 – with an increasing number of children then going onto CPPs.

Ministry of Justice

Prisoners: Mothers

baroness fall: To ask Her Majesty's Government how many imprisoned mothers of children aged under 18 have been visited by those children in each of the last five years, broken down by the number of (1) prisoners, and (2) visits.

lord keen of elie: The information requested is not held centrally.

Ministry of Defence

Type 31 Frigates

lord moonie: To ask Her Majesty's Government what major systems and equipments are common to the Type 31e and other major warships; what major systems are being developed uniquely for the Type 31e; and whether any systems or equipments are available from decommissioned Royal Navy vessels which could be used on the Type 31e.

earl howe: The systems and equipment for the Type 31e Frigate will be defined at the programme's main investment decision.

Department for Work and Pensions

Universal Credit: Disability

lord touhig: To ask Her Majesty's Government what steps are being taken to ensure that people with (1) learning disabilities, (2) autism, and (3) other forms of disability, can easily access the online application process for Universal Credit.

baroness buscombe: The Universal Credit full service is designed around user needs to be as accessible as possible. Those claimants who lack capability to make their claim via the on-line self-service, or are not able to travel, can call the Universal Credit Service Centre on 0345 600 0723. The UC Service Centre will establish the best means of support available, which could be signposting to Universal Support delivered locally, the local Jobcentre or telephony support. In exceptional circumstances, a home visit can be arranged to support a claimant in making their initial claim and completing any other administrative tasks required to ensure the claimant receives the correct payment. Should a claimant present at the local Jobcentre, there are staff available to support them to make their UC claim on-line and navigate their on-line account. They aim to provide this there and then. If a disabled claimant or claimant with complex needs does not have all of the information available to complete the on-line claim, or if all the staff are helping other claimants, they will be given a date and time to return. If a disabled or claimant with complex needs or their advocate phone the Jobcentre, they will provide an appointment with either the Local Authority or the Jobcentre to receive support. In addition, when a claimant is incapable of managing their own affairs the Secretary of State may appoint a person to act on the claimant’s behalf in all dealings with the Department.

Universal Credit: Disability

lord touhig: To ask Her Majesty's Government whether people with (1) learning disabilities, (2) autism, and (3) other forms of disability, will have the opportunity to make a claim for Universal Credit in person.

baroness buscombe: The Universal Credit full service is designed around user needs to be as accessible as possible. Those claimants who lack capability to make their claim via the on-line self-service, or are not able to travel, can call the Universal Credit Service Centre on 0345 600 0723. The UC Service Centre will establish the best means of support available, which could be signposting to Universal Support delivered locally, the local Jobcentre or telephony support. In exceptional circumstances, a home visit can be arranged to support a claimant in making their initial claim and completing any other administrative tasks required to ensure the claimant receives the correct payment. Should a claimant present at the local Jobcentre, there are staff available to support them to make their UC claim on-line and navigate their on-line account. They aim to provide this there and then. If a disabled claimant or claimant with complex needs does not have all of the information available to complete the on-line claim, or if all the staff are helping other claimants, they will be given a date and time to return. If a disabled or claimant with complex needs or their advocate phone the Jobcentre, they will provide an appointment with either the Local Authority or the Jobcentre to receive support. In addition, when a claimant is incapable of managing their own affairs the Secretary of State may appoint a person to act on the claimant’s behalf in all dealings with the Department.

Department for Environment, Food and Rural Affairs

Fly-tipping

lord porter of spalding: To ask Her Majesty's Government, in the light of their Fly-tipping statistics for England 2016–17 which shows a 7per centincrease in fly-tipping incidents from the previous year, what steps they are taking to deter and punish fly-tipping.

lord gardiner of kimble: The Government is committed to tackling fly-tipping on a number of fronts. In 2016 we gave local authorities the power to issue fixed penalty notices for small scale fly-tipping. We have enhanced the Environment Agency and local authorities’ powers to search and seize vehicles suspected of fly-tipping. The Sentencing Guidelines for environmental offences were reviewed and strengthened in 2014. The maximum penalty on indictment for fly-tipping is imprisonment of up to five years or a potentially unlimited fine. Parliamentary Under Secretary of State Dr Thérèse Coffey will shortly be writing to Ministry of Justice Ministers on the matter of sentencing and we will work with the judiciary so sentencing levels act as an appropriate deterrent As part of our Resource and Waste strategy we will develop further proposals to tackle fly-tipping. We will enhance partnership working and intelligence sharing, increase the reporting of fly-tipping on private land to target enforcement better and encourage local authorities and the Environment Agency to investigate incidents on private land.

Home Office

Slavery

baroness kennedy of cradley: To ask Her Majesty's Government what consideration they have given to introducing specific civil wrongs of (1) trafficking, (2) slavery, (3) servitude, and (4) forced labour, in legislation, to ensure that modern slavery victims can better access remedies for harms inflicted on them.

baroness williams of trafford: Civil remedies in tort already exist for victims of trafficking and slavery to claim damages from perpetrators through ordinary civil law and the Human Rights Act 1998. Damages can, for example, be recovered for loss or damage caused to victims under the torts of intimidation, harassment, assault, unlawful imprisonment, negligence and breach of duty. As such, the Government is currently of the view that the existing civil law provides the necessary civil remedies for modern slavery cases. To assist victims to bring a civil claim for compensation against their perpetrator, Section 47 of the Modern Slavery Act 2015 extends civil legal aid to all victims of modern slavery who are identified and confirmed as being victims, through the National Referral Mechanism. Additionally, criminal courts have powers to provide reparation to victims through both slavery and trafficking reparation orders (through the Modern Slavery Act 2015) and compensation orders. Victims of modern slavery can also pursue compensation by applying to the state funded Criminal Injuries Compensation Scheme.

Lead: Theft

lord marlesford: To ask Her Majesty's Government how many cases of theft of lead from churches have been reported in each police force area in England in each of the last three years; and what steps they intend to take to reduce the incidence of that crime.

baroness williams of trafford: The Office for National Statistics publishes national data on metal theft, but this does not differentiate between the type of metal stolen or its location. The Scrap Metal Dealers Act 2013 has helped to reduce the level of metal theft since it came into force in October 2013. The Home Office also works with a range of partners through the police-led National Metal Theft Working Group. This Group includes representatives from the heritage sector, and works to see what more can be done to prevent all types of metal theft, including the theft of lead from churches.The Home Office also works with a range of partners through the police-led National Metal Theft Working Group. This Group includes representatives from the heritage sector, and works to see what more can be done to prevent all types of metal theft.

Middle East: Armed Conflict

baroness stern: To ask Her Majesty's Government by what criteria they assess an individual to have taken a direct role in hostilities in Iraq and Syria.

baroness williams of trafford: UK individuals suspected of taking part in the conflict in Syria or Iraq will be investigated to determine if they have taken part in terrorist related activity. This assessment is an operational matter, determined on a case by case basis by police. Where there is evidence that crimes have been committed, those responsible should expect to be prosecuted under the full range of existing counter terrorism legislation.

Slavery: Protection

baroness doocey: To ask Her Majesty's Government how many requests have been made by police forcesto provide victims of modern slavery with support under the UK Protected Persons Service,since the commencement of the Modern Slavery Act 2015.

baroness williams of trafford: The UK Protected Persons Service (UKPPS) delivers protection and care to individuals (protected persons) who are considered by law enforcement agencies to be at risk of serious harm. This includes victims, witnesses and offenders. Given the operationally sensitive nature of the work undertaken by the UKPPS, it would not be appropriate for HMG to comment on any requests that may or may not have been made by police forces to provide victims of modern slavery with support under the service.

Licensing

lord kennedy of southwark: To ask Her Majesty's Government what plans they have to review the effectiveness of the Licensing Committees and the operation of the licensing process in local authorities.

baroness williams of trafford: The House of Lords Select Committee on the Licensing Act 2003 published its report on 4 April. The report contained 73 recommendations and conclusions to improve the effectiveness of the Act, a number of which focused on the effectiveness of Licensing Committees and the operation of the licensing process in local authorities. The Government published its response to the committee on 6 November. There are no plans to carry out a further review.

Borders: Security

lord moonie: To ask Her Majesty's Government what assessment they have made of the use of drones in the maintenance of the UK’s borders after Brexit.

baroness williams of trafford: The UK’s border security is kept under constant review and we are considering the options for our future border and immigration system very carefully. The Government is continually interested in exploring the use of new technologies to improve border security.

Northern Ireland Office

Prisoners' Release: Northern Ireland

lord trimble: To ask Her Majesty's Government, further to the Written Answers by Lord Bourne of Aberystwython 15 September (HL1347–1351) relating to prisoner release, whether they will now answer the questions asked.

lord duncan of springbank: The Northern Ireland Office have completed the consolidation exercise with the Sentence Review Commission and will respond this week.

Department for Digital, Culture, Media and Sport

Internet: Bullying

lord mancroft: To ask Her Majesty's Government when they will publish their Digital Charter to address online bullying.

lord ashton of hyde: As part of our work on the Digital Charter, the Department for Digital, Culture, Media and Sport published an Internet Safety Strategy on 11 October which focuses on keeping all users safe online. The Strategy covers the responsibilities of companies to their users, the use of technical solutions to prevent online harms and Government's role in supporting users. The Strategy consults on the introduction of the social media code of practice, as laid out in the Digital Economy Act 2017, which will address conduct that involves bullying or insulting an individual online, or other behaviour likely to intimidate or humiliate the individual. The consultation will close on 7 December and we will publish a Government response in early 2018.

Department of Health

Methadone

lord brooke of alverthorpe: To ask Her Majesty's Government what assessment they have made of the effectiveness of methadone treatment programmes in saving lives.

lord o'shaughnessy: In the 2015 study, Fatal opioid poisoning: a counterfactual model to estimate the preventive effect of treatment for opioid use disorder in England, a research group including Public Health England estimated that the English treatment system prevented an average of 880 deaths each year from opioid-related poisoning between April 2008 and March 2011. A copy of the study is attached.

Tattooing

lord kennedy of southwark: To ask Her Majesty's Government what assessment theyhavemade ofthe adequacy oflegislationregulating tattoo parlours.

lord kennedy of southwark: To ask Her Majesty's Government what assessment they have made ofthe adequacy oflegislationregulating skin piercing and other forms of body modification.

lord kennedy of southwark: To ask Her Majesty's Government what protections are in place regarding tattoo ink used in tattoo parlours.

lord o'shaughnessy: The Department is responsible for the confirmation of byelaws for regulating cosmetic piercing and skin-colouring businesses in England under Section 236 of the Local Government Act 1972. Local authorities in England are responsible for the regulation of piercing providers, under the Local Government Act 2003 and may implement byelaws. They have powers to regulate the hygiene and cleanliness of the practice of acupuncture and of businesses providing tattooing, semi-permanent skin-colouring, cosmetic piercing and electrolysis under the Local Government (Miscellaneous Provisions) Act 1982. In 2006 the Department produced a new consolidated set of model byelaws and updated provisions to reflect current infection control advice and industry practice. The model byelaws require that an operator ensure that: - any dye used for tattooing or semi-permanent skin-colouring is sterile and inert; and- any container used to hold dye for tattooing or semi-permanent skin-colouring is either disposed of at the end of each treatment or is cleaned and sterilized before re-use. In 2013, a web-based Tattooing and body piercing guidance toolkit was launched, endorsed by Public Health England in collaboration with The Chartered Institute for Environmental Health, The Health and Safety Laboratory, local authorities in England and the tattooing and piercing industry. No more recent assessments of the regulation of tattooing, skin piercing and body modification have been made.

Dental Services: Tattooing

lord kennedy of southwark: To ask Her Majesty's Government what assessmentthey havemade of the protections in placerelating todental tattoos.

lord o'shaughnessy: Cosmetic dental tattoos can be applied to crowns during manufacture if mutually agreed by dentist and patient. Crowns are dental appliances and the addition of a tattoo does not alter the usual patient protections that apply to the commission and manufacture of such appliances. Either the dentist or, in defined circumstances, the technician who created an appliance is professionally responsible for its safety and quality. Medical Devices Directive 93/42/EC sets out the requirements that apply to those commissioning and/or manufacturing appliances. Compliance with this is a legal requirement and failure to do so is a criminal offence.

General Practitioners

lord marlesford: To ask Her Majesty's Government whether non-EU citizens are entitled to register with NHS general practices; and what steps practices are expected to take to establish the identity of persons seeking to register.

lord marlesford: To ask Her Majesty's Government what was the cost in the last financial year of providing medical treatment by GPs to non-EU citizens; and whether they intend to introduce charges for non-EU citizens to access GP treatment.

lord o'shaughnessy: Anyone, including a non-European Union citizen, can register with a general practitioner practice for National Health Service primary medical services, which are then provided free of charge. There is no legal requirement to provide identification when registering with a GP practice. However, from October 2017, the form for those registering with a GP practice requests information from patients who are not ordinarily resident in the United Kingdom about their entitlement to access other NHS services free of charge, such as NHS hospital treatment. The Department does not collect data on the cost of providing medical treatment to non-EU citizens by GPs. In December 2015, the Government published Making a fair contribution: A consultation on the extension of charging overseas visitors and migrants using the NHS in England, which set out proposals to introduce charging for primary medical services, except GP and nurse consultations, for non-European Economic Area nationals where no exemption category applies to them. In its response in February 2017, the Government set out its intention to take a phased approach to implementing charging for primary medical services, taking into account contractual amendments and additional legislative changes. A copy of the consultation response is attached.



Making a Fair Contribution
(PDF Document, 1015.12 KB)

Social Services: Contracts

lord warner: To ask Her Majesty's Government whether they collect information on the number of contracts for publicly-funded adult social care that have been handed back to local authorities by providers of (1) domiciliary care, (2) residential care, (3) nursing home care, and (4) care and support in social housing.

lord warner: To ask Her Majesty's Government what guidance they have provided to local authorities on the actions to take when providers of publicly-funded adult social hand back contracts for care and there are no other providers of such care in their area willing to provide care at the rate the local authority can afford to pay.

lord warner: To ask Her Majesty's Government what assessment they have made of the impact on the NHS of the number of contracts being handed back to local authorities by the providers of publicly-funded adult social care; and whether that issue is on the Department of Health's risk register.

lord o'shaughnessy: The Department does not collect detailed information about local contracting. Commissioning high quality social care is the responsibility of local government, who are best placed to understand the needs of local people and communities and how best to meet them. The Government does not release internal risk registers. The Department has worked with the Association of Directors of Adult Social Services, Local Government Association, the care sector and other partners to produce a wide range of guidance and support about market shaping and commissioning and contingency planning. We have brought this together in an online hub called Adult Social Care Market Shaping, which is an online-only resource widely available to people and organisations, including local authorities, service users, and care providers. Where a care provider ‘hands back’ a contract to a local authority, the authority remains responsible for meeting the needs of people who previously had services provided under the contract and for arranging replacement services. Where a care provider fails financially and services cease, potentially abruptly, the local authority has Care Act duties to step in and ensure people’s needs continue to be met, regardless of who pays. The Department has not made a specific assessment of impact on the National Health Service. The NHS has comprehensive plans for winter, with preparations starting earlier than ever before. This included a thorough assessment by NHS England of winter readiness of each system across the country.

Continuing Care

lord warner: To ask Her Majesty's Government how much was spent by the NHS on Continuing Health Care for each of the last three years for which information is available.

lord o'shaughnessy: The following table shows the total amount spent on packages of care for standard National Health Service Continuing Healthcare (CHC), Fast Track NHS CHC and NHS CHC Healthcare Personal Health Budgets in the last three years: CHC spend (£ billion)2014/152.72015/162.92016/173.1 It should be noted that these figures do not include administrative costs, costs for children’s NHS CHC or expenditure for NHS CHC Previously Unassessed Periods of Care

Continuing Care

lord warner: To ask Her Majesty's Government how many applications were made to the NHS for Continuing Health Care in each of the last three years for which figures areavailable; and what proportion of those applications were rejected.

lord o'shaughnessy: The number of individuals who were referred for a full NHS Continuing Healthcare assessment and those who became eligible for NHS Continuing Healthcare during the relevant year is shown in the attached table due to the size of the data. It should be noted that the conversion rates are “indicative” in the sense that some of the people found eligible will have been referred for their assessment during the previous year, or will receive their eligibility decision in the subsequent year. It should also be noted that some referrals will be for individuals who never receive an assessment, for example, if the individual has died.



NHS Continuing Healthcare eligibility tables
(Word Document, 20.97 KB)

Nurses: Labour Turnover

lord willis of knaresborough: To ask Her Majesty's Government how many UK-domiciled registered nurses (1) came on to, and (2) left, the Nursing Midwifery Council Register, in each of the years 2010–11 to 2016–17.

lord o'shaughnessy: The information requested is not collected by the Department. The Nursing and Midwifery Council is the independent regulator of nurses and midwives in the United Kingdom and is responsible for nurse and midwifery registration.

Nurses: Training

lord willis of knaresborough: To ask Her Majesty's Government how many places at UK higher education institutions were commissioned for graduate nursing studies in each of the years 2010–11 to 2016–17.

lord o'shaughnessy: The information held by the Department does not separately identify the number of postgraduate trainees on pre-registration nursing courses and includes only the numbers for England. The following table shows the total number of nurse training places that were commissioned in England in each academic year, for the period 2010-11 to 2016-17. These figures include both undergraduates and postgraduates on pre-registration nurse training courses. CourseNurse total2010-1120,1382011-1217,9032012-1317,4422013-1418,0562014-1519,2062015-1620,1532016-1720,680 Source: Health Education England since 2013.Financial Information Management System prior to 2013

Health Professions: Training

lord willis of knaresborough: To ask Her Majesty's Government what were the total funds allocated for continuing professional development in each of the years 2013–14 to 2016–17 for (1) medical doctors and consultants, (2) registered nurses, (3) registered midwives, and (d) all other regulated health professionals.

lord o'shaughnessy: Different organisations have a range of responsibilities for training and development. Individual National Health Service employers have responsibility for supporting staff with courses which are required to fulfil duties to work in their organisation and core employment requirements. The Department does not collect this data. National funding through Health Education England (HEE) has historically been used to support development of the NHS workforce which includes development of careers. HEE invests up to £300 million per year on supporting individuals in NHS employment to achieve registered qualifications and a further £80 million on workforce transformation projects agreed locally, some of which has prioritised training courses for ongoing development. Going forward, HEE is considering alternative models for traditional Continuing Professional Development funding; for example exploring routes for apprenticeships for post-graduate qualifications that may have been funded directly at a national level previously.

Nurses: Training

lord clark of windermere: To ask Her Majesty's Government which institutions provide undergraduate courses in nursing.

lord o'shaughnessy: Information on all higher education institutes providing undergraduate pre-registration courses in adult, child, mental health and learning disability nursing can be found in the table, which has been attached owing to the size of the data.



Undergraduate pre-registration courses
(Word Document, 42.73 KB)

HIV Infection: Drugs

baroness barker: To ask Her Majesty's Government how many (1) cis women, and (2) trans and non-binary people, have been recruited to take part in NHS England’sHIV Pre-exposure Prophylaxisimpact trial.

baroness barker: To ask Her Majesty's Government what action they have taken to ensure that (1) cis women, and (2) trans and non-binary people, at risk of HIV are recruited to take part in the HIV Pre-exposure Prophylaxis impact trial.

baroness barker: To ask Her Majesty's Government what assessment they have made of whether members of the Black African community are less likely to attend sexual and reproductive health services than other citizens, and if so what actionthey have takento recruit at-risk people from that population to take part in the HIV Pre-exposure Prophylaxis impact trial.

baroness barker: To ask Her Majesty's Government how (1) Public Health England, and (2) the Department of Health, plan to monitor progress made against the Framework for Sexual Health in England, particularly with regard to HIV services.

lord o'shaughnessy: The number and gender of individuals recruited to take part in the NHS England funded HIV pre-exposure prophylaxis (PrEP) Impact trial is being captured in the trial dataset but will not be available until 2018. No assessment on whether members of the Black African community are less likely to attend sexual and reproductive health services than other citizens has been carried out in relation to sexually transmitted infections and HIV. The purpose of the trial is to assess under real world conditions the impact of PrEP and to inform service commissioners about how to support clinical and cost effective PrEP access in the future for men who have sex with men (MSM) and non MSM, including those in the Black African community. Places are being reserved for groups at high HIV risk other than men who have sex with men. Public Health England (PHE) regularly publishes a variety of data sources and reports to monitor the sexual health of the nation. This includes key sexual health indicators in the PHE public health profiles and the annual HIV report. Departmental officials meet regularly with PHE to discuss progress on sexual health, including the ambitions in the Framework for Sexual Health in England.

HIV Infection: Health Services

baroness barker: To ask Her Majesty's Government what equalities impact assessments local authorities are required to make when reducing spending on HIV support services, given that those most at risk tend to belong to marginalised communities.

lord o'shaughnessy: The Public Sector Equality Duty sets out what councils must do to ensure they are compliant with the requirements of the Equality Act 2010. It requires public bodies to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity between people who share a protected characteristic and people who do not share it; and foster good relations between people who share a protected characteristic and people who do not share it. The Equality Duty does not impose a legal requirement to conduct an Equality Impact Assessment.

Oral Cancer

lord kennedy of southwark: To ask Her Majesty's Government what action they are taking to promote a greater awareness of oral cancer.

lord o'shaughnessy: Public Health England (PHE) publishes national datasets that identify local needs in terms of oral cancer registrations and mortality, and local profiles on alcohol and tobacco which are the major risk factors for oral cancer. This information is used to raise local awareness and support local needs assessments. PHE has also published Delivering Better Oral Health: an evidence-based toolkit for prevention, which provides dental teams with evidence-based advice and training resources that will help them to raise their patients’ awareness of the common risk factors of oral cancer. A copy of the toolkit is attached. During 2017-19, a national Commissioning for Quality and Innovation (CQUIN) incentive scheme will require all mental health and community trusts and, in 2018-19 acute trusts, to deliver alcohol and smoking brief interventions to all adult inpatients. Patient information materials provided to support the CQUIN outline the increased risk of oral cancers from alcohol misuse.



Delivering Better Oral Health toolkit
(PDF Document, 4.18 MB)

Drugs: Death

lord patel of bradford: To ask Her Majesty's Government what steps they are taking to reduce the number of drug-related deaths of people in treatment services; and what data they have on whether the number of drug-related deaths of people who died while they were in treatment services increased over the last year.

lord o'shaughnessy: Public Health England (PHE) has issued advice on providing naloxone, supported the publication of updated clinical guidelines for drug treatment, and supported a network of treatment providers to establish good practice guidance on managing drug-related death risk factors. PHE continues to work with local authorities and treatment providers to support their work in reducing drug-related deaths. This includes improving drug-related death review processes and increasing the number of people with drug problems who are in drug treatment. Published figures by PHE show the total number of people who died while in contact with treatment services in 2016-17 was 2,680, showing a decrease from 2015-16 where there were 2,689 deaths in treatment. These figures are for all deaths in treatment, not just drug-related ones.